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NPI Code Detail

MEDICARE: DONNA D MCDANIEL CRNA

MEDICARE: DONNA D MCDANIEL CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistC002968AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316033020
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA D MCDANIEL CRNA
Provider Business Mailing Address
First Line : PO BOX 1547
Second Line :
City : SEDALIA
State : MO
Zip : 65302-1547
Country : US
Telephone Number : 660-826-5960
Fax Number : 660-826-4852
Provider Business Practice Location Address
First Line : 603 N PROGRESS AVE
Second Line :
City : SILOAM SPRINGS
State : AR
Zip : 72761-4352
Country : US
Telephone Number : 479-215-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 08/19/2022

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Directions to “ DONNA D MCDANIEL CRNA” Practice Location

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